VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 1283026
Sex: M
Age: 34
State: IN

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin Nickel

Symptom List: Dysphagia, Epiglottitis

Symptoms: 6 hours from vaccine === Mild injection arm pain 12 hours == Severe injection arm pain (can?t raise beyond chest level) Chills 16 hours == High heart rate (160 bpm) 18 hours == 103 fever Severe headache Unable to sleep Exhaustion ** Took 1000 mg of Tylenol at 21 hours 24 hours == Heart rate is now only slightly elevated (120 bpm). ** Took 1000 mg of Tylenol at 25 hours 30 hours == Vomiting (x2) Heart rate is now normal 48 hours == Joint pain (shoulders and neck) Nausea subsides Temperature drops below 100 Headache is now mild 72 hours == Back to normal

Other Meds: Lisinopril (10mg @ 7:30 AM) Verapamil ER (180mg @ 7:30 AM) Singulair (10mg @ 11 PM night before)

Current Illness: None

ID: 1283027
Sex: M
Age: 71
State: CO

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: penicillins, lisinopril, Alka-selzter, doxycycline, latex, neomycin, S-A-C

Symptom List: Anxiety, Dyspnoea

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: in clinic visit immediately following vaccination patient reports eyes watering, redness on face, throat swelling. Vital signs all within normal ranges. Provider noticed swelling of soft tissue around eyes and cheeks. On physical exam no hoarseness noted; lungs clear without wheezing, rhonchi, or rales. Administered diphenhydramine in clinic and advised to continue at home and referred to allergy/immunology clinic for follow-up.

Other Meds: acetaminophen, allopurinol, apixaban, atorvastatin, carvedilol, vitamin D3; diclofenac, dofetilide, fluocinonide, furosemide, gabapentin, losartan, metformin, multivitamin, nitroglycerin, olopatadine, omeprazole

Current Illness: none reported

ID: 1283028
Sex: M
Age: 60
State: MN

Vax Date: 04/01/2021
Onset Date: 04/24/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: Guillain Barre Syndrome, currently under treatment with Plasma exchange. started 4/30/21

Other Meds: aspirin, atorvastatin, clopidogrel,furosemide

Current Illness: peripheral vascular disease, diabetes, obesity, tobacco dependence, hyperlipidemia, atherosclerosis of left leg, sleep apnea, hypertension

ID: 1283029
Sex: M
Age: 35
State:

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 15 min post vaccination today, he felt "something in his " Adam's Apple. Feeling a little tight". Feels "heart is beating fast". HR 63 -- > 103 -- > 56. Given Benadryl 25 mg IM x1. Patient reports feeling much better, stable, released from vaccination site.

Other Meds:

Current Illness:

ID: 1283030
Sex: F
Age: 46
State: IL

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin (Rash)

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Patient experienced fever, chills, shivering, vomiting, nausea within the first approximately 24 hours after getting the vaccine. She also started to experience "leg pain" or "tendon pain" in the groin area. All side effects subsided within about 24 hours except the leg pain. It has now been 5 days and she is still having this pain with any movement of the body. If she is resting and sitting still, she is fine.

Other Meds: Did not discuss with patient

Current Illness: None discussed

ID: 1283031
Sex: F
Age: 58
State: IL

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: Pt complained of dizziness and facial numbness. EMS responded, BP 145/83, HR 78, O2 97%. Pt refused transport. Symptoms unimproved with snacks/water, pt referred to PCP/urgent care if symptoms do not resolve.

Other Meds: none

Current Illness: none

ID: 1283032
Sex: F
Age: 54
State: GA

Vax Date: 04/03/2021
Onset Date: 04/05/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Adhesive

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Hives all over body- arm, legs, back. Shoulder, stomach, thighs, buttocks, hips, knees.. Has persisted now for one month following injection although beginning to subside on certain areas like left arm but still present on right arm and other parts. As hives subside., bruising follow so I suspect Uticarial vasculitis.

Other Meds: Metformin, Atorvastatin, Victoza, Tresiba, Carvedilol and

Current Illness: None

ID: 1283033
Sex: F
Age: 22
State: IN

Vax Date: 05/01/2021
Onset Date: 05/02/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Clindamycin

Symptom List: Pharyngeal swelling

Symptoms: Red lesion at injection site

Other Meds: Prozac Levothyroxine Pantoprazole Birth Control

Current Illness: Fistula

ID: 1283034
Sex: F
Age: 40
State: TX

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Headache stomach issues and arm pain Thursday chest pain and shortness of breathe went to the er had blood clots

Other Meds: Simvastatin Multivitamin Amitriptyline

Current Illness: Headache

ID: 1283035
Sex: F
Age: 21
State: PA

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient felt faint and passed-out 10 min after receiving her first vaccination. She was not alert for about 30 seconds. Then she was alert with normal breathing, HR and speaking. Patient was given juice and water. She received a ride home, instead of driving herself.

Other Meds:

Current Illness:

ID: 1283036
Sex: F
Age: 37
State: CA

Vax Date: 04/01/2021
Onset Date: 04/09/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: about a week after my first shot, I had a rash at the site of the injection. It was nothing severe, but i wanted to report it. The rash lasted about 24-36 hours. I also had a full body rash about two weeks after the first vaccine, altho we assumed it was a food allergy at the time. Treated with Benadryl.

Other Meds: prenatal vitamin, dha, vitamin c

Current Illness: had a rash, assumed to be food allergy related one week later (4/16)

ID: 1283037
Sex: F
Age: 29
State: OH

Vax Date: 04/06/2021
Onset Date: 04/13/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Pt states 1 week after her vaccine her arm became sore again, rashy, red and described pain in her elbow as tennis elbow.

Other Meds:

Current Illness:

ID: 1283038
Sex: F
Age: 32
State: NH

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Imitrex (anaphylaxis at 14 or 15 years old)

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Patient received 2nd dose of Pfizer COVID vaccine; reported no issue with first dose other than local irritation. Patient waited 15 minutes at the pharmacy, and then left the store. She started driving away and then started to feel unusual. She turned around and came back to the pharmacy for observation, where she reported her face and especially ear were very hot and felt like they "were on fire." Pharmacist administered 10cc (25mg) of Benadryl and gave patient an ice pack and proceeded to sit with her to make sure she was okay. Patient then reported that her face and lips were starting to feel numb, so we called 911. We continued to watch her until the paramedics arrived to take her to the hospital.

Other Meds: Adderall XR, Adderall, Sertraline, Synthroid

Current Illness: unknown

ID: 1283039
Sex: F
Age: 41
State: GA

Vax Date: 04/05/2021
Onset Date: 04/12/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: A week after my first dose I noticed bumps in my middle arm (front). I thought they were mosquito bites. Then the area grew with more bumps with fluid. Very itchy. I also got a few on my chest and back as well as the back of my left arm.

Other Meds: Probiotic gummies

Current Illness: None

ID: 1283040
Sex: F
Age: 40
State: MI

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa, eurythromiacin, xyzal

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: On day 5 of my period in the evening, my period flow significantly increased. Normally I do not fill a Junior Lite tampon in 8 hours. I never have a heavy period on day 5. The night after my shot, I filled a Junior lite tampon. Sunday morning I filled a regular tampon and in the afternoon a lite tampon. Overnight Sunday-Monday I filled a Super tampon. Monday during the day the menstral flow subsided to almost nothing.

Other Meds: Claritin, Flonase, multivitamin, mirena IUD

Current Illness: Breast biopsy on 4/29/21. Required local numbing and took Tylenol that day.

ID: 1283041
Sex: M
Age: 34
State: NJ

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Geographical tongue.

Other Meds: No

Current Illness: No

ID: 1283042
Sex: F
Age: 25
State: IN

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: N/A

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: Fever, chills, aches

Other Meds: Fluoxetine; Tamsulosin

Current Illness: N/A

ID: 1283043
Sex: F
Age: 34
State: CA

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: On April 12, shortly after I got my second Pfizer shot, I started my period. It was very early by several weeks, and only a week since my previous period ended, which is why I made note of it and have kept a record. For the first week it was fairly light and mostly spotting. After a week, it progressed and became more like a normal period in terms of the amount of blood I was seeing. By April 23rd I started noticing a lot more blood clots in my period than usual--ordinarily I'll see one or two each time I get my period, but there were about five days in a row when I noticed multiple blood clots. The clots stopped around April 28th, but as of today (May 3rd) my period is still ongoing, making it exactly three weeks long, and more unless it suddenly stops today. For the most part the blood has been red and I haven't noticed any other unusual discharge. I have noticed the past few days that the blood is more brown, like old blood. I have not experienced bad cramps or stomach upset during this very long period--I had the same level of menstrual cramping/stomach upset that I am accustomed to over the first couple of days, but nothing since then. I have felt bloated and tired the entire time, however. I have also experienced a really low mood for these few weeks, though I can't be certain if this is worse than I usually experience on my period, because it may just be because it's lasting so long that it feels worse.

Other Meds: None

Current Illness: None

ID: 1283044
Sex: F
Age: 31
State: PA

Vax Date: 04/25/2021
Onset Date: 05/02/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: PNC13
Manufacturer: PFIZER\WYETH
Vax Name: PNEUMO (PREVNAR13)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: A week after injection, experiencing ?COVID arm? with fever that fluctuates between 99-101 degrees Fahrenheit. Sore collar bone on left side (injection was on left arm), but unsure if it has anything to do with the shot (soreness started the same day as fever). Taking OTC Tylenol ever 6 hours. Redness on arm increased in size today (day 2), and fever is still around 99 degrees.

Other Meds: None

Current Illness: None

ID: 1283045
Sex: M
Age: 69
State: TN

Vax Date: 03/28/2021
Onset Date: 03/30/2021
Rec V Date: 05/03/2021
Hospital: Y

Vax Type: RV1
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: ROTAVIRUS (ROTARIX)
Lot:
Dose Series: 1
Vax Route: PO
Vax Site: MO

Lab Data:

Allergies: No allergies

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: On March 30th the patient had loss of appetite and headache. On March 31st the patient collapsed and was taken to the ER, the patient's oxygen was low. Patient's blood pressure had dropped and you could not wake him up all afternoon. The Ambulance took him to the hospital on April 1st where he had shortness of breath and blood clots in lungs. On April 1-2 the patient was leaking blood but the hospital staff could not find where so they gave him 3 units of blood. Patient also received 3 antibiotics for a rare pneumonia.

Other Meds: Metformin, Glipizide, Prednisone, Potassium, Atorvastatin, Carvedilol, Enalapril

Current Illness: Diabetes, autoimmune, high blood pressure.

ID: 1283047
Sex: F
Age: 33
State: TX

Vax Date: 04/15/2021
Onset Date: 04/18/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Sudden severe onset vertigo, completely debilitating and lasting for approximately 5 hours. Subsided same evening. Still left with lingering dizziness, bouts of pressure in ears and tongue tingling, and marked increase in consistent tinnitus. I'm on a daily regimen now of ibuprofen and antihistamines, to keep the symptoms manageable, they return when I do not take it. All of these symptoms are new, experienced after the vaccine (aside from the tinnitus).

Other Meds: Nordic Naturals Prenatal DHA, Nordic Naturals Vitamin D3

Current Illness: None

ID: 1283048
Sex: F
Age: 58
State: NE

Vax Date: 03/24/2021
Onset Date: 04/01/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: medications: Ibuprofen, ketoprofen, zithromax, psudoephedrine foods: citrus

Symptom List: Unevaluable event

Symptoms: This is an unexpected outcome which is not necessarily adverse. After approximately 25 years of nearly-total anosmia, beginning in 1998, an (?almost?) complete sense of smell has returned after receiving the Moderna shots. It began within 10 days of having the first dose of the Moderna vaccine, and has continued to improve, until approximately a week after having the second dose of the Moderna vaccine. It is now comparable to others' sense of smell in various environments. My loss of smell has been reported to several physicians over the past 25 years, although no investigation was done regarding the cause.

Other Meds: Metformin, Levothyroxine Multivitamin supplement, niacin supplement (100 mg 2x/week)

Current Illness: none

ID: 1283049
Sex: F
Age: 30
State: NJ

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Allergic to effexor (severe body rash and bruising)

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Within 12 hours: chills, fever, fatigue, nausea, headache Within 24 hours: rash at injection site, pain in arm, light sensitivity Within 36 hours: swollen lymph nodes, facial swelling, mood swings Within 48 hours: severe migraine, more nausea, trouble concentrating Within 72 hours: sudden faintness, mood swings, tight chest, diziness Within 96 hours: ringing in ears, left side weakness

Other Meds: Whey Protein Isolate Opti Nutrition Women's Multivitamin

Current Illness: I have been "spotting" since my first vaccination shot. Light, small blood clots.

ID: 1283051
Sex: F
Age: 55
State: RI

Vax Date: 04/15/2021
Onset Date: 04/23/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Injection site pain, Pain

Symptoms: I have shortness of breath and rapid heart beating, chest pain under left breast. My blood pressure is sky high and I have NEVER had high blood pressure 160/101. I have been monitoring my pressure daily and it is not going down!! I NEVER smoked and did NOT have these problems prior to vaccine.

Other Meds: Advil sinus

Current Illness: none

ID: 1283052
Sex: M
Age: 66
State: CA

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: brimonidine

Symptom List: Injection site pain, Menorrhagia

Symptoms: Recurring episodes of stomach pain similar to a gas pain but located on the left side in the stomach area--it occurred upon waking the day after the shot, later in the afternoon, and most severely at 1 am that night (31 hrs. after the shot). I took an Advil for the 1 am episode and fell back asleep.

Other Meds: Latanoprost, Dorzolamide+Timolol, Flonase, Zyflamend,

Current Illness:

ID: 1283053
Sex: F
Age: 31
State:

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: Lips tingling and L arm tingling/numbness 10-15 min after 1st dose on same size injection was administered. Symptoms lasted for 8 hours post-vaccination and resolved w/out medical treatment.

Other Meds:

Current Illness:

ID: 1283054
Sex: M
Age: 45
State: MA

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient felt unwell after administration. He complained of headache and muscle soreness in both arms

Other Meds: none known

Current Illness: none reported

ID: 1283055
Sex: M
Age: 75
State: IA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Demerol, Paxil

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: States he has problems with hypoglycemia and began to feel lightheaded. No loss of consciousness. VS at 11:20, BP=138/100, HR=81, O2 sat=98%. He was able to eat a granola bar and some fruit snacks with out nausea or vomiting. C/o of hypoglycemia sxs. Prior to leaving the recovery area after about 30 minutes, his blood pressure was 128/80, 96% o2 sat, and 92 pulse. Contact information given to wife to text me when they arrived home and to rest; push fluids.

Other Meds: ASA, Norvasc, HCTZ, Atorvastatin,

Current Illness: None

ID: 1283056
Sex: M
Age: 32
State: AL

Vax Date: 04/19/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: He noticed a hard lump in his bicep this morning and it appeared to be in a vein. He went in to see his doctor and the doctor diagnosed him with a blood clot. The doctor said it was in a superficial vein and didn't give him any treatment. Told him to keep a watch on it and if it got swollen or turned red or he developed shortness of breath to come back in and be seen.

Other Meds: Prednisone 5mg, Tacrolimus 1mg, Mycophenolic 180mg, Omeprazole 20mg. Dietary supplements, otc medications and herbal remedies unknown

Current Illness: Unknown

ID: 1283057
Sex: F
Age: 36
State: IN

Vax Date: 04/15/2021
Onset Date: 04/17/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Ear ringing loud and consistent. Still ringing as of today. Tried antibiotics and did not correct it. Went to nurse practitioner 4/21.

Other Meds: None

Current Illness: None

ID: 1283058
Sex: M
Age: 59
State: MN

Vax Date: 04/08/2021
Onset Date: 04/27/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Injection site pain

Symptoms: facial diplegia/Guillain Barre Varient.

Other Meds: Eliquis, amlodipine, carvedilol, chlorthalidone, lisinopril, rosuvastatin

Current Illness: hypertension, atrial fibrillation,

ID: 1283059
Sex: F
Age: 17
State: IN

Vax Date: 05/02/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Swelling face , I gave her benadryl around 11:00 am and Tylenol 11:30 am

Other Meds:

Current Illness:

ID: 1283060
Sex: F
Age: 24
State: CA

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: Received her first dose Pfizer vaccine (LOT#: EW0173 EXP: 8/2021) at 1009 on 5/02/21. PHN was alerted by EMT who was told by patient that vaccinator made her anxious about the vaccine. Patient stated that vaccinator told her she was bleeding more than usual and that there was a small bump on her arm. EMT contacted patient at 1015. Patient reported swelling and hematoma at injection site. At 1025 patient reported feeling anxious and was crying. PHN assessed patient and reassured her the swelling in her arm was going down. PHN educated patient on worsening signs and symptoms at injection site and treatment of swelling. Patient verbalized understanding. PHN asked EMT to take vital signs. EMT took patients vital signs at 1033. BP: 140/111, pulse: 72, RR: 20. EMT reassessed patient at 1040. Patient stated that she was feeling a lot better and less anxious. EMT retook patients vital signs at 1042. BP: 142/108, pulse: 66, RR: 20. Patient had completed her observation time. Patient left at 1045 by herself, unassisted with a steady gait.

Other Meds:

Current Illness:

ID: 1283061
Sex: F
Age: 32
State: MD

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: At 8pm on April 8th 2021 I started smelling something unpleasant. I thought it was something in my apt. I then smelled it next day at work. I realized it was me and no matter what I smelled or ate, it all was horrible. Tasted like burnt toast/dead animal/ metal/ bad. Just bad. I wasn't able to eat a full meal because the taste was so bad. Everything from mint, orange juice, pizza, chocolate, tasted the same. And bad. It's gotten slightly better since then. But it's almost been a month and food still taste bad.

Other Meds: Mirena Strattera Hair skin nails vitamin

Current Illness: None

ID: 1283062
Sex: F
Age: 33
State: NY

Vax Date: 04/01/2021
Onset Date: 04/10/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Erythema, Pruritus

Symptoms: heavy blood in stool and small blood clot passed with stool. blood with stool lasted for approximately one week.

Other Meds: none

Current Illness: none

ID: 1283063
Sex: F
Age: 28
State:

Vax Date: 04/08/2021
Onset Date: 04/15/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies: N/A

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Minor pain/soreness in injection arm developed 7 days after first dose. Rash developed 8 days after the first dose in injection arm and became swollen and warm to the touch. Swelling, rash, and soreness resolved on their own on the 9th day after the first dose.

Other Meds: Birth control

Current Illness: N/A

ID: 1283064
Sex: M
Age: 90
State:

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Rash of anterior neck and low back; pruritic: Began after COVID-19 vaccine. Present for 3-4 weeks. Questionable for acute urticaria, no sign of angioedema or pulmonary involvement. Attempted treatment with calamine, betamethasone without relief.

Other Meds:

Current Illness:

ID: 1283065
Sex: F
Age: 25
State: CA

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: N/A

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Patient received Moderna as a 1st dose on 04/07/2021. Patient received Pfizer as a 2nd dose on 05/03/2021.

Other Meds: N/A

Current Illness: Breast Feeding her child.

ID: 1283066
Sex: M
Age: 65
State:

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Pt reported not feeling well and can not breath well and looks pale Pt's caregiver reported that pt has history of MS and has similar reaction with blood-draw and pt does not have history of allergy to any medications. Pt's O2 Sat was 86% room air and pt was placed on O2 4L via nasal cannula and O2 sat: 100% room air. BP; 60/32, HR: 44, R: 18. 911 was called and patient transported to Caregiver took patient's belonging. 911 called, patient taken to ED. Cancelled 2nd dose, scheduled Johnson & Johnson appointment.

Other Meds:

Current Illness:

ID: 1283067
Sex: F
Age: 31
State: NY

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Soy allergy

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Was having anxiety about getting vaxinated, calmed down and consented to vaccine, and then proceeded to have a panic attack afterward. She waited it out but was being watched by doctors on site and the paramedics. Was taken by ambulance for observation 1 hour after vaccination.

Other Meds: Not to our knowledge

Current Illness: Anxiety and kidney stones.

Date Died: 03/24/2021

ID: 1283068
Sex: M
Age: 93
State: AK

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKA

Symptom List: Pain in extremity

Symptoms: Hi, my name is, I'm a RN and am submitting this report about my grandpa. I took him into the VA to get his second covid vaccine on 2/17/21. At that time my grandp lived semi-independently in a house between my parents and my uncle . He didn't get out very much but with some help of grocery shopping and organizing his medication he was still able to live alone and function well independently. My mother reported to me on 2/18/21 that my grandpa was confused, weak and tired. My grandpa has never had any signs of dementia. At this time he developed a delerium that waxed and waned. He complained of headache, no appetite and extreme weakness. On 2/23/21 he fell down in his house and we decided to move him into my uncles spare bedroom to keep better eyes on him. The delerium persisted and on 3/5 he was taken to Hospital for a workup for his delerium and weakness. There he saw Dr. an internal medicine doctor at hospital. The workup showed an elevated BNP (probably baseline but I'd have to look at previous lab results) but nothing further. We opted not to do further imaging and instead take him home. It became obvious to me that this was the end of his life and so I requested a hospice referral from Dr. My grandpa died on 3/24/21.

Other Meds: lisinopril, lipitor, flomax, protonix, vicodin prn back pain,

Current Illness: NA

ID: 1283069
Sex: F
Age: 27
State: MI

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: Penicillin, mild fruit allergies, environmental allergies

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Hives covering body. Started on forehead and has spread and is still spreading 4 days after. I got steroids starting yesterday and was called and told that I am no longer vaccinated since I took steroids.

Other Meds: Prazosin, wellbutrin, nexplanon.

Current Illness:

ID: 1283070
Sex: F
Age: 34
State: WI

Vax Date: 03/31/2021
Onset Date: 04/09/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Lactose intolerant

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Menstrual cycle came unexpectedly, and only 12 days after the last day of my menstrual cycle. My menstrual cycles have never been out of sync before (except when pregnant) and have been very regular..

Other Meds: Topiramate 50mg tablet, one tablet by mouth twice daily. Acetazolamide 250mg tablet, two tablets by mouth twice daily. Duloxetine DR 60mg Capsule, one capsule by mouth once daily. 1mg Melatonin tablet at bedtime.

Current Illness: Anxiety

ID: 1283071
Sex: F
Age: 37
State: OR

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: N/A

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: 36 hours after my vaccine I had severe vomiting. For the next 18 hours I was vomiting every 2 to 3 hours. Then could not eat for another 6 hours following due to extreme nausea. I also had a painful headache for those 24 hours. I felt feverish, but did not have a fever.

Other Meds: Depo Provera, multivitamin, vitamin D, and calcium

Current Illness: N/A

ID: 1283072
Sex: F
Age: 17
State: TX

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Patient under age 18 was vaccinated with Moderna, which is a vaccine error, on 4/2. She came back for her second dose on 4/30. Troubleshooting: Scribe and vaccinator did not validate age at the original visit; screeners at the beginning of the process did not ask or turn her away on a Moderna-only day. This was unreported at the time of the original error and was found with a data search on the vaccine system. Shortly after this error was made an ID/birth date validiation requirement was put into place.

Other Meds:

Current Illness:

ID: 1283075
Sex: F
Age: 35
State: NV

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Only allergy I know of is red cedar, bee stings, and rodent urine.

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 30 Minutes later had slight headache, around a hour later head ache got worse and little light headed. starting at approximately 9pm I started to feel very light headed, head ache, nauseaus around 11 started shaking un controllably and really cold and fever. was shaking and freezing all night highest fever was 104.4 checked around 6am. because couldn't find my temporal thermometer. Called and reported the problems. Talked to my doctor and told me to monitor and if doesn't get better to go to ER. around 10am I felt a little better and temp stayed around 101. by the next evening tempurature was around 98 degrees and only had muscle aches, fatigue and head ache. Felt alot better around Sunday afternoon.

Other Meds: none

Current Illness: none

ID: 1283076
Sex: M
Age: 46
State: CA

Vax Date: 04/27/2021
Onset Date: 05/02/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Allergic to Ibuprofen

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: DVT under clavicle . Sudden Swelling, discoloring and numbness of left arm.

Other Meds: N/A

Current Illness: N/A

ID: 1283077
Sex: F
Age: 57
State: CA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Unknown

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Dose given at 1:43pm. Symptoms started around 1:50pm. Symptoms include arm numbness and chest pressure. Pulse ox: 98 Bp: 168/95 Heart rate: 89 Pain: 8 of 10 chest pain moving to left Arm Pt reports numbness in the left arm all the way to shoulder & in the right arm numb to elbow. Pt states having breathing problems. Gave pt oxygen. Pt reports pain with inhalation and exhalation. Pmh: diabetes, no cardiac hx, thyroid problem Per pt, took medications today, ate quesadilla for breakfast, & was feeling good before vaccine administration. Pt has never felt these type of symptoms. No fever, no cough Medications per pt: glipizide, synthroid Recommended to go to the hospital; sounds like anxiety but pt wants to go to the hospital. Pt feels tightness of throat, but o2 is sat is 99@2:02 Pt was very nervous and didn't want to get the vaccine. Her legs are numb/falling asleep 2:05pm Nauseous at 2:08pm but dry heaving, no actual vomit 911 called at 2:10pm. Chest pain @ 2:11pm is 8 out of 10 and numbness is still present in hands and feet, per pt. o2: 99 and pulse: 87 at 2:13pm Temp: 36.0 BG 8am before breakfast: 118 Ambulance arrived @ 2:19pm and transported pt to hospital

Other Meds: Per pt: glipizide, synthroid

Current Illness: Per pt: past medical history includes diabetes & thyroid problem. No cardiac history

ID: 1283079
Sex: F
Age: 45
State: MO

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Lidocaine and PPD solution

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Within 30 minutes, extreme itching and red blotches appeared. The roof of mouth was itching as well as ears, scalp and entire body. Took 50 mg of benadryl and then ended up with a medrol dose pack - the itching and atopic dermitis continued for almost a week. Itching comes and goes on a daily basis. With inital vaccine, the patient also experience mouth itching and milder itching with no rash.

Other Meds: None

Current Illness: None

ID: 1283080
Sex: F
Age: 23
State: IN

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: Swelling and itchiness on shoulder (location of vaccine administration)

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm